CHARLES C DWYER DC PC
NPI 1114168002
Chiropractor - Radiology in Clarkston, WA

Active since March 23, 2009
919 HIGHLAND AVE, CLARKSTON, WA 99403(509) 758-9214(509) 758-9267 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charles C Dwyer Dc Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES C DWYER DC PC (NPI 1114168002), doing business as Dwyer Chiropractic Center, is a healthcare organization registered as a radiology in Clarkston, Washington and active in the NPI registry since March 2009. The organization lists Jodi Marie Dwyer, Vp, as its authorized official.

NPPES Registry Identity

NPI1114168002
Entity TypeOrganization
Primary Taxonomy111NR0200X
Legal Business NameCHARLES C DWYER DC PC
Location Address919 HIGHLAND AVEClarkston, WA 99403
Mailing Address919 Highland AveClarkston, WA 99403 · (509) 758-9214 · Fax (509) 758-9267
Fax(509) 758-9267
Organization SubpartNo
Authorized OfficialJodi Marie DwyerVp · (509) 758-9214
Enumeration DateMarch 23, 2009
Last NPPES UpdateFebruary 13, 2024
✔ NPI 1114168002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RadiologyChiropractic Providers
Taxonomy Code111NR0200X
License✔ Licensed in WA · 602884351
Definition
Chiropractic radiology is a referral specialty that provides consultation services at the request of other qualified doctors. Chiropractic radiologists provide consultation in health care facilities (private offices, hospitals and teaching institutions) to meet the needs of referring doctors and their patients. The quality of the consultative services by the chiropractic radiologist in independent practice is reflected by the quality of their professional credentials. Chiropractic radiologists recommend, supervise, and interpret radiologic studies as well as advanced imaging procedures. They advise referring physicians on the necessity and appropriateness of radiologic services and whether to select or to avoid certain diagnostic or clinical procedures. In some instances the radiologist may act as a private practitioner. They may conduct research and apply diagnostic radiologic procedures and may be called upon to act as expert witnesses in matters of litigation.

Chiropractic radiologists are also concerned with imaging technology including image production, demonstration of normal and abnormal anatomy, and the interaction of energy and matter. The advances in the technological facets of radiology are so rapid that only qualified radiologists can reasonably be expected to maintain the high level of proficiency required to supervise and interpret these procedures. The practice of radiology continuously involves the application of this technology to patient imaging and treatment. It is now well recognized that chiropractic radiology includes, but is not limited to, plain film radiography, fluoroscopy, tomography, ultrasonography, radioisotope imaging, computed tomography, digital radiography, and magnetic resonance imaging. Individual practices may vary by intent, licensure, and scope of practice laws.
919 HIGHLAND AVE, Clarkston, WA 99403

Other Names 1

Former Legal Business NameDwyer Chiropractic Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles C Dwyer Dc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Charles C Dwyer Dc PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Chiropractic
NPI 1811798887
919 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-9214
Same address
Chiropractic
NPI 1144186537
919 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-9214
Same address
Chiropractic
NPI 1265404156
919 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-9214
Same address
Chiropractic
NPI 1760624183
919 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-9214
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles C Dwyer Dc PC's NPI number?

The NPI number for Charles C Dwyer Dc PC is 1114168002. It was assigned to this organization in the NPPES registry on March 23, 2009. The provider was formerly known as Dwyer Chiropractic Center.

Where is Charles C Dwyer Dc PC located?

Charles C Dwyer Dc PC is located at 919 Highland Ave, Clarkston, WA 99403. The listed phone number is (509) 758-9214.

What is Charles C Dwyer Dc PC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Radiology, with taxonomy code 111NR0200X.

Is Charles C Dwyer Dc PC enrolled in Medicare?

Yes. Charles C Dwyer Dc PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles C Dwyer Dc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Charles C Dwyer Dc PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Charles C Dwyer Dc PC was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.